Basic Information
| Provider Information | |||||||||
| NPI: | 1457468290 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HINDS | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | OTR-L AND CRC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12106 144TH ST | ||||||||
| Address2: | |||||||||
| City: | ANDERSON ISLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983038701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538846911 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9900 VETERANS DR SW | ||||||||
| Address2: | A116 | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984935000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535828440 | ||||||||
| FaxNumber: | 2535894042 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 00010891 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.